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TheraNest vs Exym Comparison (2026)

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Good recommendations?

TheraNest logo

TheraNest

Exym logo

Exym

Overview

Most EHRs aren’t built for mental health, but TheraNest is. Built for solo and small group mental health practices.

Exym is an intuitive, user-friend EHR software solution that tracks everything your behavioral health agency needs. Easily manage your patient data, progress notes, clinician activities and billing.

  • Platforms supported
  • Web-based
  • iPhone app
  • Android app
  • Windows Phone app
  • Typical customers
  • Freelancers
  • Small businesses
  • Mid size businesses
  • Large enterprises
  • Customer support
  • Phone
  • Online
  • Knowledge base
  • Video tutorials
  • Platforms supported
  • Web-based
  • iPhone app
  • Android app
  • Windows Phone app
  • Typical customers
  • Freelancers
  • Small businesses
  • Mid size businesses
  • Large enterprises
  • Customer support
  • Phone
  • Online
  • Knowledge base
  • Video tutorials

Video & Screenshots

Pricing

Starting from

29

/user

Per month

  • Free trial available
  • Credit cardless trial
  • Free account
  • Subscription based

Starting from

1500

Per month

  • Free trial available
  • Credit cardless trial
  • Free account
  • Subscription based

User reviews

4.4

1K

5

4

3

2

1

598

320

86

23

29

  • Value for money
  • Ease of use
  • Features
  • Customer support
70%
would recommend this app

4.5

55

5

4

3

2

1

34

18

2

1

0

  • Value for money
  • Ease of use
  • Features
  • Customer support
76%
would recommend this app

Pros

“A helpful enhancement would be a pop-up notification upon login reminding clients that their provider has sent forms requiring completion, along with clear instructions on where to locate those forms within the portal.”
CV

Chloe V.

Administrative and Billing Assistant

“Group-practice administration, supervision oversight, advanced billing workflows, reporting, automation, and real-time operational visibility is non existent.”
Verified reviewer profile picture

Zina O.

Management

“I found the scheduling, documentation, billing, and client management features helpful in keeping workflows efficient and reducing administrative burdens.”
HS

Heather S.

General Manager

Pros

“Uploading documents to show up and be able to easily access for billing purposes. And still be able to update or delete”
JL

Jennifer L.

Administrative Support Staff

“EXYM is a use friendly system that allows for case notes, reminders, internal communication, patient information access, attendance, test results...you name it!!!”
TT

Tawanna T.

Chemical Dependency Counselor

“overall this is a great system, its great value for money and the support team really do answer all your questions promtply.”
AP

Adam P.

head of procurement

Cons

“Managing a group practice with multiple clinicians, supervisors, billing staff, insurance workflows, credentialing considerations, documentation oversight, and a high volume of claims required more visibility and automation than the platform provided. As I mentioned earlier it is limited, outdated and lacks core features needed for a successful RCM.”
Verified reviewer profile picture

Zina O.

Management

“What I really DON'T like is the daily schedule page because I have to scroll down to see all my appointments, and if my browser window is not fully expanded, I can't access the "copy note from last session" function on my very last client of the day.”
LM

Lavinia M.

Licensed Professional Counselor, Owner

“I know of fellow clinicians who lost thousands of dollars to their claims submission feature, claims got lost, some of them weren't even submitted and no way to resolve denials. Where we began running into limitations was as our organization became larger and operationally more complex.”
Verified reviewer profile picture

Zina O.

Management

Cons

“Limited customization, clunky or hard navigation, inefficient/lengthy data entry, manual date edits, and some slow or unintuitive design elements”
BG

Brendan G.

Administrator

“It was difficult to make personalizations or changes.”
JY

Jessica Y.

PMHNP

“The dashboards were a bit hard to navigate and you have to really know how to filter things out.”
Verified reviewer profile picture

Amie V.

Office Manager

  • Vendor responds to reviews
  • Last reviewa month ago
  • Vendor responds to reviews
  • Last review22 days ago

Key features

  • Total features148
  • API
  • Access Controls/Permissions
  • Accounting
  • Activity Dashboard
  • Activity Tracking
  • Alerts/Notifications
  • Appointment Management
  • Appointment Scheduling
  • Assessment Management
  • Attendance Management
  • Automated Scheduling
  • Bill Payment
  • Billing & Invoicing
  • Calendar Management
  • Calendar Sync
  • Cancellation Tracking
  • Care Plan Management
  • Care Summaries
  • Case List Management
  • Case Management
  • Case Notes
  • Charting
  • Chat/Messaging
  • Child Welfare Management
  • Claims Management
  • Claims Scrubbing
  • Client Database
  • Client Management
  • Client Portal
  • Clinic Interoperability
  • Clinical Notes
  • Code & Charge Entry
  • Coding Assistance
  • Communication Management
  • Compliance Management
  • Compliance Tracking
  • Confirmations/Reminders
  • Contact Database
  • Credit Card Processing
  • Customer Database
  • Customizable Branding
  • Customizable Dashboard
  • Customizable Fields
  • Customizable Forms
  • Customizable Reports
  • Customizable Templates
  • Data Import/Export
  • Data Security
  • Decision Support
  • Document Management
  • Document Storage
  • Document Templates
  • Drag & Drop
  • Dunning Management
  • E-Prescribing
  • EMR/EHR
  • Electronic Payments
  • Electronic Signature
  • Eligibility Verification
  • Email Reminders
  • Employee Management
  • Faculty/Staff Management
  • File Sharing
  • Financial Management
  • For Group Therapy
  • For Medical Purposes
  • For Mental/Behavioral Health
  • For Nonprofits
  • For Substance Abuse Therapy
  • Forms Management
  • Generative AI
  • Goal Setting/Tracking
  • Group Notes
  • HIPAA Compliant
  • Health Record Access
  • Historical Reporting
  • Income/Expense Tracking
  • Initial Assessments
  • Insurance Eligibility Verification
  • Insurance Management
  • Intake Management
  • Invoice History
  • Invoice Management
  • Meaningful Use Certified
  • Medical Billing
  • Medical History Records
  • Mobile Access
  • Mobile Alerts
  • Mobile App
  • Monitoring
  • Multi-Factor Authentication
  • Multi-Location
  • Multi-Physician
  • Multi-Provider Practice
  • No-Show Tracking
  • Notes Management
  • On Call Scheduling
  • One-to-One Messaging
  • Online Booking
  • Online Forms
  • Order Entry
  • Patient Communications
  • Patient Database
  • Patient Engagement
  • Patient Intake
  • Patient Management
  • Patient Monitoring
  • Patient Portal
  • Patient Records Management
  • Patient Scheduling
  • Payment Collection
  • Payment Processing
  • Physician Management
  • Physician Scheduling
  • Practice Management
  • Progress Notes
  • Progress Reports
  • Progress Tracking
  • Quotes/Estimates
  • Real-Time Notifications
  • Real-Time Reporting
  • Records Management
  • Recurring Appointments
  • Referral Management
  • Referral Tracking
  • Registration Management
  • Reminders
  • Remittance Advice
  • Remote Treatment Planning
  • Reporting & Statistics
  • Reporting/Analytics
  • Revenue Management
  • Role-Based Permissions
  • SMS Messaging
  • SSL Security
  • Scheduling
  • Search/Filter
  • Secure Data Storage
  • Secure Messaging
  • Self Payment
  • Self Service Portal
  • Session Notes
  • Softphone
  • Staff Management
  • Surveys & Feedback
  • Task Management
  • Task Scheduling
  • Team Notes
  • Telemedicine
  • Teletherapy
  • Template Management
  • Therapy Notes
  • Third-Party Integrations
  • Time Tracking
  • Training Management
  • Treatment Planning
  • Two-Way Audio & Video
  • Video Conferencing
  • Video Consultations
  • Virtual Waiting Room
  • Workflow Management
  • Total features90
  • API
  • Access Controls/Permissions
  • Accounting
  • Activity Dashboard
  • Activity Tracking
  • Alerts/Notifications
  • Appointment Management
  • Appointment Scheduling
  • Assessment Management
  • Attendance Management
  • Automated Scheduling
  • Bill Payment
  • Billing & Invoicing
  • Calendar Management
  • Calendar Sync
  • Cancellation Tracking
  • Care Plan Management
  • Care Summaries
  • Case List Management
  • Case Management
  • Case Notes
  • Charting
  • Chat/Messaging
  • Child Welfare Management
  • Claims Management
  • Claims Scrubbing
  • Client Database
  • Client Management
  • Client Portal
  • Clinic Interoperability
  • Clinical Notes
  • Code & Charge Entry
  • Coding Assistance
  • Communication Management
  • Compliance Management
  • Compliance Tracking
  • Confirmations/Reminders
  • Contact Database
  • Credit Card Processing
  • Customer Database
  • Customizable Branding
  • Customizable Dashboard
  • Customizable Fields
  • Customizable Forms
  • Customizable Reports
  • Customizable Templates
  • Data Import/Export
  • Data Security
  • Decision Support
  • Document Management
  • Document Storage
  • Document Templates
  • Drag & Drop
  • Dunning Management
  • E-Prescribing
  • EMR/EHR
  • Electronic Payments
  • Electronic Signature
  • Eligibility Verification
  • Email Reminders
  • Employee Management
  • Faculty/Staff Management
  • File Sharing
  • Financial Management
  • For Group Therapy
  • For Medical Purposes
  • For Mental/Behavioral Health
  • For Nonprofits
  • For Substance Abuse Therapy
  • Forms Management
  • Generative AI
  • Goal Setting/Tracking
  • Group Notes
  • HIPAA Compliant
  • Health Record Access
  • Historical Reporting
  • Income/Expense Tracking
  • Initial Assessments
  • Insurance Eligibility Verification
  • Insurance Management
  • Intake Management
  • Invoice History
  • Invoice Management
  • Meaningful Use Certified
  • Medical Billing
  • Medical History Records
  • Mobile Access
  • Mobile Alerts
  • Mobile App
  • Monitoring
  • Multi-Factor Authentication
  • Multi-Location
  • Multi-Physician
  • Multi-Provider Practice
  • No-Show Tracking
  • Notes Management
  • On Call Scheduling
  • One-to-One Messaging
  • Online Booking
  • Online Forms
  • Order Entry
  • Patient Communications
  • Patient Database
  • Patient Engagement
  • Patient Intake
  • Patient Management
  • Patient Monitoring
  • Patient Portal
  • Patient Records Management
  • Patient Scheduling
  • Payment Collection
  • Payment Processing
  • Physician Management
  • Physician Scheduling
  • Practice Management
  • Progress Notes
  • Progress Reports
  • Progress Tracking
  • Quotes/Estimates
  • Real-Time Notifications
  • Real-Time Reporting
  • Records Management
  • Recurring Appointments
  • Referral Management
  • Referral Tracking
  • Registration Management
  • Reminders
  • Remittance Advice
  • Remote Treatment Planning
  • Reporting & Statistics
  • Reporting/Analytics
  • Revenue Management
  • Role-Based Permissions
  • SMS Messaging
  • SSL Security
  • Scheduling
  • Search/Filter
  • Secure Data Storage
  • Secure Messaging
  • Self Payment
  • Self Service Portal
  • Session Notes
  • Softphone
  • Staff Management
  • Surveys & Feedback
  • Task Management
  • Task Scheduling
  • Team Notes
  • Telemedicine
  • Teletherapy
  • Template Management
  • Therapy Notes
  • Third-Party Integrations
  • Time Tracking
  • Training Management
  • Treatment Planning
  • Two-Way Audio & Video
  • Video Conferencing
  • Video Consultations
  • Virtual Waiting Room
  • Workflow Management

Integrations

  • Total integrations3
  • Google Calendar
  • Microsoft Outlook
  • RXNT
  • iCloud
  • Total integrations1
  • Google Calendar
  • Microsoft Outlook
  • RXNT
  • iCloud